LILI THA

FREDERICK, MD
NPI1114699428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0008722)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-05
Last Update Date2023-01-19
Business Address
LILI THA
300 BALLENGER CENTER DR
FREDERICK, MD 21703-7096
Phone number: 866-389-2727
Mailing Address
LILI THA
300 BALLENGER CENTER DR
FREDERICK, MD 21703-7096
Phone number: 866-389-2727